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Association of Visual Appearance on Outcomes After Hallux Valgus Surgery.

Authors :
Bahar H
Yildiz KI
Source :
Foot & ankle international [Foot Ankle Int] 2021 Dec; Vol. 42 (12), pp. 1584-1588. Date of Electronic Publication: 2021 Jun 30.
Publication Year :
2021

Abstract

Background: In this study, our aim was to determine the effect of cosmetic improvement on patient satisfaction and functional scores in hallux valgus (HV) surgery.<br />Methods: Preoperative foot photographs of 105 patients who had undergone chevron osteotomy for HV between 2016 and 2018 were taken. The patients were divided into 2 groups. Twenty-four months after surgery, the preoperative foot photographs were shown to patients in group 1 (n = 52) but not to patients in group 2 (n = 53). The groups were then compared using the visual analog scale (VAS), the American Orthopaedic Foot & Ankle Society Hallux Metatarsophalangeal-Interphalangeal (AOFAS Hallux MTP-IP), and the 36-Item Short Form Health Survey (SF-36) scores. Both groups were evaluated radiologically with preoperative and postoperative hallux valgus angles and intermetatarsal angles.<br />Results: There was no difference between the 2 groups in terms of radiologic parameters either pre- or postoperatively, or AOFAS Hallux MTP-IP scores postoperatively. However, for group 1, the VAS was lower (0.4±0.8 vs 1.8±1.6, P = .003) and both the SF-36 physical functioning (88.3±18.1 vs 79.1±23.2, P = .017) and SF-36 mental health scores were higher (78.8±19 vs 69.2±16.3, P = .022).<br />Conclusion: Visualizing improvement in the cosmetic appearance of the foot appears associated with patients' perception of subjective pain and functional improvement. We recommend that preoperative foot photographs be taken and recorded.<br />Level of Evidence: Level III, case-control study.

Details

Language :
English
ISSN :
1944-7876
Volume :
42
Issue :
12
Database :
MEDLINE
Journal :
Foot & ankle international
Publication Type :
Academic Journal
Accession number :
34189980
Full Text :
https://doi.org/10.1177/10711007211019940